• 제목/요약/키워드: medical records

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주상복합아파트 거주자의 질병자료에 관한 내용 분석 (Contents Analysis on the Dwellers' Medical Reports in High-Rise Mixed-Use Apartment)

  • 최병숙;강인호
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2008년도 춘계학술발표대회 논문집
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    • pp.187-192
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    • 2008
  • This purpose of this study is to figure out the inter-relationship between the residence stories in high-rise mixed-use apartments and their residents' disease patterns throughout the dweller's medical reports in high-rise mixed-use apartments. Research basic data are obtained from medical fee request of National Health Insurance Corportion. Data are limited a housing complex to 'A' high-rise mixed-use apartment and a medical treatment time to 3 years(2004-2006). Analysis data of total 346,286 medical records, 43,159 disease records, and 8,999 persons are collected. By analyzing those data, findings are as follows: 1) Women is more medical treatments than men, 40-50 age group is more treated, and the residents of 6-25 stories are more received medical treatments. Diseases of the respiratory system and diseases of the eye and adnexa are relatively treated higher than other diseases. 2) The diseases of the respiratory system, the eye and adnexa, the skin and subcutaneous tissue, the ear and mastoid process), and the asthma have not relation to the high-storied residence through the data of disease records and personal records. But the analysis on the data of children, 7 ages and less, is showed a significant relation. And to conclude, there is no relationship between the residence of high-stories in that apartment and dwellers' disease patterns, but there is a little probable to the relationship in the pre-school child.

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발굴(發掘) 의안(醫案) 고려대학교 소장 『경험방(經驗方)』에 대하여 (Gyeongheombang : a Recently Discovered Book of Medical Records Kept in Korea University)

  • 박상영
    • 한국의사학회지
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    • 제28권1호
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    • pp.103-109
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    • 2015
  • We have summarized a large part of the history of Korean medicine from a macroscopic perspective. However, many aspects still remain incomplete from a microscopic perspective. This is partly because the society under the Chosun dynasty was dominated by the gentry class and they were not active in the field of medicine. However, another reason is that, unlike the Chinese, these people left behind few medical case records (醫案, eui-an) that vividly describe the treatment methods prevalent during those times. This may be attributed to the fact that during those times, the focus of medical doctors was not on recording their knowledge and experiences, but on simplification of diagnosis and treatments for practical use. However, since medical case records of any era provide an insight into the state of medical provision at that time, they could play an important role in providing concrete knowledge regarding the state of medicine under the Chosun dynasty, and in understanding the uniqueness of Korean medicine in detail. Therefore, in this article we discuss the recently discovered Gyeongheombang (經驗方), which is archived at the Korea University, and through this we aim to add a new source of detailed information on Korean medicine, and to identify the potential of Korean medicine by demonstrating its uniqueness.

청강진요부 자료현황 보고 - 입수경위와 정리현황 및 연구적 가치 - (A paper on the Present Condition of Cheong-Gang (청강) Medical Chart -Means of Acquisition, Filing Condition and Research Value)

  • 차웅석
    • 대한한의학회지
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    • 제25권2호
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    • pp.119-126
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    • 2004
  • Introduction : Kim-Young-hun (김영훈), with the pen name of Cheong-Gang (청강), was born in the late 19th century. He led an active life as an eminent Korean traditional medical scholar until the mid-20th century. He opened a Korean traditional medical clinic in the heart of Seoul and kept records of his clinical experiences. Methods : Filing of clinical records: Cheong-Gang's records, at present owned by the College of Oriental Medicine, Kyunghee University (경희대학교 한의과대학), are classified into prescription charts and medical examination charts. In this study, only the medical examination charts were filed. Results : The total number of the medical examination charts from 1915 until 1974 is 393, and the titles are sorted according to date. This paper is the first filing research on the medical examination charts.

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"조선왕조실록"에 나타난 주요 외용제에 대한 고찰 (Consideration on the Paste Preparation Based on Entries from the Annals of the Chosun Dynasty)

  • 방성혜;차웅석;김남일
    • 대한한의학회지
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    • 제30권4호
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    • pp.37-46
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    • 2009
  • Objectives: The purpose of this study was to investigate the external application of paste preparation recorded in the Annals of the Chosun Dynasty (朝鮮王朝實錄) and to clarify the significance of modern use of plaster therapy. Methods: Of many paste preparations, records of All-applying ointment (萬應膏), One-great ointment (太一膏), Pain-relieving plaster (救苦膏), and Pus-promoting powder (促膿膏) were especially examined from the Annals of the Chosun Dynasty. Other medical records regarding how these preparations were passed onto later generations were also studied. Results: According to the records from the Annals of the Chosun Dynasty, paste preparations were mainly used to cure abscess and sore, partly to treat pain diseases. From other medical documents, it could be found that these preparations were continuously used in subsequent eras. Conclusions: From these records, the level and features of Chosun Dynasty medicine could be speculated. It is necessary to find and restore effective paste preparations in Traditional Korean Medicine to use for treating disease today. Therefore, records from the Annals of the Chosun Dynasty are important and meaningful materials.

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의료인의 진료기록부 등 허위작성시 형사처벌 가부 - 대법원 2005. 11. 24. 선고 2002도4758 판결 - (Whether to put on Criminal convictions on the medical examination records prepared by medical personnels - Sentenced by November 24, 2005, by The Supreme Court, Precedent case no. 2002DO4758 -)

  • 박경춘
    • 의료법학
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    • 제8권1호
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    • pp.107-135
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    • 2007
  • 대법원 2005. 11. 24. 선고 2002 도 4758 판결은 $\ulcorner$의료법 제21조 제1항의 문언상 "상세히 기록하여야 한다."라고만 규정하고 있을 뿐 "허위로 작성하 여서는 아니 된다."라거나 "허위 사항을 기재하여서는 아니 된다."라고 규정하고 있지 않은 점, 그리고 구 의료법 제53조 제1항 제3호가 면허자격정지사유에 관하여 "제21조 제1항에 의한 진료기록부 등을 허위로 작성한 때"라고 규정하고 있어 위 제21조 제1항 및 제69조와 그 내용 및 형식을 서로 달리하고 있는 점 등을 고려해 볼 때, 의료인이 진료기록부를 허위로 작성한 경우에는 위 제53조 제1항 제3호에 따라 그 면허자격을 정지시킬 수 있는 사유에 해당한다고 볼 수 있을지언정 나아가 그것이 형사처벌 규정인 제69조 소정의 제21조 제1항의 규정에 위반한 경우에 해당한다고 해석할 수는 없다.$\lrcorner$ 취지로 판시하고 었으나, 대법원 1997. 8. 29. 선고 97도 1234 판결 등의 판시내용 (의사는 진료기록부에 환자의 상태와 치료의 경과 등 의료행위에 관한 사항과 그 소견을 환자의 계속적인 치료에 이용할 수 있고 다른 의료인들에게 적절한 정보를 제공할 수 있으며, 의료행위가 종료된 이후에는 그 의료행위의 적정성 여부를 판단하기에 충분한 정도로 상세하게 기재하여야 한다는 취지)등에 비춰보면 본건처럼 의사인 피고인이 실제로는 거의 치료를 받지 아니한 사람을 입원 전 기간 동안 진료와 치료를 충실히 한 것처럼 진료기록부에 허위내용을 기재한 것은 의료법 제21조 제1항의 진료기록부 작성의무를 제대로 이행한 것으로 볼 수 없다고 할 것이고, 위 의료법 제21조 제1항과 제53조 제1항의 관계에 있어서도 진료기록부를 허위기재하거나 과장기재한 경우에는 제21조 제1항 위반으로 형사 처벌 대상일 뿐만 아니라 부가적으로 제53조 제1항에 의해 면허정지 등 행정처분을 받을 수 있다는 취지로 해석이 타당하다고 사료된다.

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"삼국사기(三國史記)"에 기록된 의약내용(醫藥內容) 분석 (Study on Medical Records In ${\ulcorner}$the Historical Records of the Three Kingdoms${\lrcorner}$)

  • 신순식;최환수
    • 제3의학
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    • 제2권1호
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    • pp.35-54
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    • 1997
  • We tried to observe the features of ancient medical practice by analysing the records related to medicine in the book, ${\ulcorner}$the Historical Records of the Three Kingdom${\lrcorner}$ of which content includes the features of medicine in mythology, plague, delivery of twins, drugs, medical system, shamanism, constitutional medicine, psychiatry, forensic medicine, deformity, a spa, medical phrase, health and welfare work, religion, death. physiological anatomy, Taoist medicine, acupuncture, the occult af of transformation and etc. Our initial concern was about where to draw line as of medical field and we defined medicine in more broad meaning. The book ${\ulcorner}$the Historical Records of the Three Kingdoms${\lrcorner}$ describes the world of mythology by way of medicine which is not clearly a conventional one. There appears records of birth of multiple offsprings 7 times in which cases are of triplets or more. Delivering multiple offsprings were rare phenomenon though such fertility was highly admired. This shows one aspect of ancient country having more population meant more power of the nation. Of those medical records conveyed in that book includes stories of childbirth such as giving birth to a son after praying, giving birth to Kim Yoo-shin after 20 months after mother's dream of conception, and a song longing for getting a laudable child. Plagues were prevalent throughout winter to spring season and one can observe various symptoms of plagues in the record. Of these epidemic diseases, cold type might have been more common than the heat one. Appearance of epidemic diseases frequently coincided with that of natural disasters that this suggests a linkage between plague and underlying doctrine on five elements' motion and six kinds of natural factors. There exists only a few names of diseases such as epidemic disease, wind disease, and syndrome characterized by dyspnea. Otherwise there appeared only afflictions that were not specified therefore it remains cluless to keep track of certain diseases of prevalence. Since this ${\ulcorner}$Historical Records of the Three Kingdoms'${\lrcorner}$ wasn't any sort of medical book, words and terms used were not technical kind and most were the ones used generally among lay people. Therefore any mechanisms of the diseases were hardly mentioned. Some of medicinal substances such as Calculus Bovis, Radix Ginseng, Gaboderma Luciderm, magnetitum were also in use in those days. 53 kinds of dietary supplies appears in the records and some of these might have been used as medicinal purpose. Records concerning dicipline of one's body includes activities such as hunting, archery, horseback riding etc. In Shilla dynasty there were positions such as professor of medicine, Naekongbong(內供奉), Kongbong's doctor(供奉醫師), Kongbong's diviner(供奉卜師). As an educational facility, medical school was built at the first year of King Hyoso's reign and it's curricula included various subjects as ${\ulcorner}$Shin Nong's Herbal classic${\lrcorner}$, ${\ulcorner}$Kabeul classic of acupuncture and moxbustion${\lrcorner}$, ${\ulcorner}$The Plain Questions of the Yellow Emperor's Classic of Internal Medicine${\lrcorner}$, ${\ulcorner}$Classic of Acupuncturer${\lrcorner}$, ${\ulcorner}$The Pulse Classic${\lrcorner}$, ${\ulcorner}$Classic of Channels and Acupuncture Points${\lrcorner}$ and ${\ulcorner}$Difficult Classic${\lrcorner}$. There were 2 medical professors who were in charge of education. To establish pharmacopoeia, 2 Shaji(舍知), 6 Sha(史), 2 Jongshaji(從舍知) were appointed. In Baekje dynasty, Department of Herb was maintained. Doing praying for the sake of health, doing phrenology also can be extended to medical arena. Those who survived over 100 years of age appear 3 times in the record, while 98 appears once. The earliest psychiatrist Nokjin differentiated symptoms to apply either therapies using acupuncture and drug or psychotherapy. There appears a case of rape, a case of burying alive with the dead, 8 cases of suicide that can characterize a prototype of forensic medicine. Deformity-related records include phrases as follow: 'there seems protrudent bone behind the head', 'a body which has two heads, two trunks, four arms.', 'a body equipped with two heads' In those times spa can be said to be used as a place for he리ing, convalescence, and relaxation seeing the records describing a person pretended illness and went to spa to enjoy with his friends. Priest doctors and millitary surgeons were in charge of the medical sevice in the period of the Three Kingdoms by the record written by Mookhoja(墨胡子) and Hoonkyeom(訓謙). Poor diet and regimen makes people more vulnerable to diseases. So there existed charity services for those poor people who couldn't live with one's own capacity such as single parents, orphans, the aged people no one to take care and those who are ill. The cause of affliction was frequently coined with human relation. There appeared the phenomenon of releasing prisoners and allowing people to become priests at the time of king's suffering. Besides, as a healing procedure, sutra-chanting was peformed. There appears 10 cases of death related records which varies from death by drowning, or by freezing, death from animals, death from war, death from wightloss and killing oneself at the moment of spouse's death and etc. There also exist certain records which suggest the knowledge of physiology and anatomy in those times. Since the taoist books such as ${\ulcorner}$Book of the Way and Its Power(老子道德經)${\lrcorner}$ were introduced in the period of Three Kingdoms, it can be considered that medicine was also influenced by taoism. Records of higher level of acupuncture, records which links the medicine and occult art of transformation existed. Although limited, we could figure out the medical state of ancient society.

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19세기 고창지방 의원 은수룡이 남긴 경험의안 (A Study of the Case Records of a Herbalist En Su-ryong in the late Chosun dynasty)

  • 이선아
    • 한국의사학회지
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    • 제18권2호
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    • pp.63-91
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    • 2005
  • This paper analyzes the case records of a herbalist En Su-ryong who lived at the Kochang area of Chollapukdo province in the 19th century. The records, which were included in his collection of works, Tantojip(呑吐集), were consisted of 11 clinical diagnosis and prescriptions. The result of the analysis is as follows. First, En Su-ryong's records are estimated to be valuable enough to contribute to the development of the Korean clinical medicine, in light of the fact that the present established prescriptions or medical theory came from the repetition of trial and error by many herb doctors. Second, his case records are unique in the style of writing, because they were consisted of only his own clinical diagnosis and prescriptions case by case, while those of ordinary herbalists were classified by the types of the symptoms of a disease, with their prescriptions modified from the past established. Third, in the records he minutely wrote not only the names and the addresses of the patients under his care, but also the names of the diseases, the progress and the contents of his treatment, and even the perfect cure or not. Therefore, his case records are appreciated to be very important from the standpoint of the history of the society.

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음성인식과 자연어 처리 딥러닝을 통한 전자의무기록자동 생성 시스템 (Automatic Electronic Medical Record Generation System using Speech Recognition and Natural Language Processing Deep Learning)

  • 손현곤;류기환
    • 문화기술의 융합
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    • 제9권3호
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    • pp.731-736
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    • 2023
  • 최근 의료 현장은 전자의무기록, 전자건강기록 등의 의료 기록을 전산화하여 저장하고 관리하는 시스템이 의무적으로 적용되거나 전체 의료 현장에 보급되어 환자 개개인의 과거 의료 기록을 추가적인 의료 행위에 활용하고 있다. 그러나 일반적인 의료 문진 및 상담 간 발생하는 의료진과 환자 간의 대화는 별도로 기록되거나 저장되지 않고 있어 추가적인 환자의 주요 정보는 효율적으로 활용되지 못하고 있다. 이에 따라, 의료 문진 현장에서 발생하는 의료진과 환자와의 대화를 저장하고 이를 텍스트 데이터로 변환하여 주요한 문진 내용만 자동으로 추출, 요약하여 정보화하는 음성인식과 자연어 처리 딥러닝을 통한 의료상담 요약문을 자동으로 생성하는 전자의무기록 시스템을 제안한다. 본 시스템은 의료 종사자와 환자의 의료 상담 내용의 인식과정을 거쳐서 텍스트 정보를 획득한다. 이렇게 획득된 텍스트를 복수의 문장으로 구분하고, 생성된 문장에 포함된 복수 키워드의 중요도를 산출한다. 산출된 중요도를 기반으로 복수의 문장에 순위를 매기고, 순위를 기반으로 문장들을 요약하여 최종 전자의무기록 데이터를 생성한다. 제안하는 시스템 성능은 정량적 분석을 통하여 우수함을 확인한다.

감모(感冒)처방 정강의감(睛崗醫鑑) '가미보정산(加味普正散)'의 의학역사적 이해 (A Medical Historical Study of Gami-Bojeongsan(加味普正散), Prescription for Common Cold in Cheong-gang Euigam(晴崗醫鑑))

  • 이병욱;김동율;차웅석
    • 한국의사학회지
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    • 제24권2호
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    • pp.77-86
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    • 2011
  • This paper aims to find out the unique Oriental Medical characteristics of the prescription Gami-Bojeongsan(加味普正散), which can only be found in "Cheong-gang Euigam(晴崗醫鑑)" and the records of diagnosis by Kim Yeong Hoon. First, clues regarding Gami-Bojeongsan (加味普正散) in "Cheong-gang Euigam(晴崗醫鑑)" and the records of diagnosis by Kim Yeong Hoon have been collected, and then the origin of Gami-Bojeongsan(加味普正散) has been studied. Moreover, changes of prescriptions for common cold in East Asian Medicine have been looked into from historical perspective, and their connection to Gami-Bojeongsan(加味普正散) has also been researched. Lastly, connection of prescriptions for common cold found in royal records of the Chosun Dynasty to Gami-Bojeongsan(加味普正散) has been confirmed. The results are as follow: 1) Gami-Bojeongsan(加味普正散) is a most frequently used prescription in the records of diagnosis by Kim Yeong Hoon, and was used mostly in winter. It includes various modified versions. 2) Prescriptions that adopt Cyperi Rhizoma(香附子) as the sovereign medicinal, such as Gami-Bojeongsan(加味普正散), include Hyangsosan(香蘇散) of "Hejijufang(和劑局方)" and Hyang-gal-tang (香葛湯) of "Dexiaofang(得效方)". Hyang-gal-tang(香葛湯) is thought to have adopted Korean characteristics through "Dong-Eui-Bo-Gam (東醫寶鑑)" and "Je-Jung-Shin-Pyeon(濟衆新編)", and have continued its existence until it reached Gami-Bojeongsan(加味普正散). 3) These characteristics can be found in the royal records of the Chosun Dynasty, and also in Shin-Su-Tae-Eul-San(神授太乙散) of "Euibang-Yuchui (醫方類聚)".

『언해랍약증치방(諺解臘藥症治方)』의 납약에 대한 고찰 -『조선왕조실록(朝鮮王朝實錄)』과 『승정원일기(承政院日記)』를 중심으로- (A Study on Prescrptions as Napyak of Eonhaenapyakjeongchibang -Based on the Annals of the Joseon Dynasty and the Daily Records of Royal Secretariat of Jonseon Dynasty.-)

  • 연지혜;김정민;금가정;장아령;김상찬;송지청
    • 대한한의학방제학회지
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    • 제26권2호
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    • pp.171-181
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    • 2018
  • Objective : Napyak has known as the herbal medicine, that kings of the Joseon dynasty bestowed on the royal officers around the last day of the each year. There are several researches on Napyak but those are focused the meaning itself, bibliographical studies on Unhaenapyakjeungchibang(which is the text related to Napyak), system in Joseon dynasty related to Napyak and so on. This articles is subject to research the real usage and medical meaning thrugh record of Joseon dynasty Method : Prescriptions of Unhaenapyakjeungchibang were browsed from the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty and compared the main disease of prescriptions with the records above. Result : The main disease of prescriptions were corresponded with real usage records of the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty except a few cases. And the new meaning of Napyak could be defined as the herbal medicine, that kings of the Joseon dynasty bestowed on the royal officers and all people to cure emergent disease around the last day of the each year. Conclusion : This research is for focusing the real usage of the Napyak thrugh Unhaenapyakjeungchibang prescription but this research is for the medical records of the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty. Hereafter, the medical records researches could be conducted by real usage of prescriptions.